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Adrenal Anatomy

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102. Cardiopulmonary Resuscitation in Infants and Children With Cardiac Disease

with the critical components of the 2015 American Heart Association pediatric basic life support and pediatric advanced life support guidelines and are meant to serve as a resuscitation supplement. This statement is meant for caregivers of children with heart disease in the prehospital and in- hospital settings. Understanding the anatomy and physiology of the high-risk pediatric cardiac population will promote early recognition and treatment of decompensation to prevent cardiac arrest, increase survival from (...) , with compres- sions providing only ˜10% to 30% of normal blood flow to the heart and 30% to 40% of normal blood flow to the brain. 6 The inherent inefficiency associated with CPR can be further exacerbated in the patient with CHD, in which the underlying anatomy limits effective PBF, systemic blood flow (SBF), and cerebral perfusion. Given these issues, survival after cardiac arrest can be low in infants and children with cardiac disease. To im- prove resuscitation outcomes, a strong emphasis must

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2018 American Heart Association

103. Pediatric Gastroesophageal Reflux Clinical Practice Guidelines: Joint Recommendations of the North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition and the European Society for Pediatric Gastroenterology, Hepatology, and Nutritio

)/factitious disorder by proxy (FDP) Hereditary fructose intolerance Child neglect or abuse Urea cycle defects Self-induced vomiting Amino and organic acidemias Cyclic vomiting syndrome Fatty acid oxidation disorders Rumination syndrome Metabolic acidosis Congenital adrenal hyperplasia/adrenal crisis Toxic Renal Lead poisoning Obstructive uropathy Other toxins Renal insuf?ciency Cardiac Heart failure Vascular ring Autonomic dysfunction ESPGHAN ¼ European Society for Pediatric Gastroenterology, Hepatology

2018 North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition

104. Müllerian Agenesis: Diagnosis, Management, and Treatment

to hypogonadism. Another etiology of pubertal delay with typical external female genitalia and absent cervix is CYP17A1 deficiency. This is a rare autosomal recessive heterogenous form of congenital adrenal hyperplasia with an incidence of 1:50,000 to 1:100,000 that may be confused with müllerian agenesis. Individuals will have impaired sex steroid and cortisol synthesis and overproduction of aldosterone with resultant hypertension and hypokalemia. An individual with a 46,XX karyotype will have a uterus (...) and vagina, but an individual with a 46,XY karyotype may have phenotypically female external genitalia, a shortened vagina, no uterus, and intraabdominal testes. The diagnosis can be confirmed by testing of the CYP17A1 gene and careful interpretation of adrenal steroids, including elevated serum deoxycorticosterone and corticosterone levels and low cortisol, androgens, and estrogen levels ( , ). Evaluation of the Patient With Müllerian Agenesis Initial evaluation of the patient without a uterus may

2018 American College of Obstetricians and Gynecologists

105. Appropriate Use Criteria: Imaging of the Abdomen & Pelvis

; OR ? Absence of response after 72 hours of therapy Adrenal lesion ? Following a non-diagnostic ultrasound in neonate patients ? For characterization of an indeterminate adrenal mass identified on prior imaging – such as a benign adenoma versus a metastatic deposit; OR ? When there is biochemical evidence of an adrenal endocrine abnormalityCT Abdomen | Copyright © 2018. AIM Specialty Health. All Rights Reserved. 11 Common Diagnostic Indications Hematuria Hydronephrosis ? Evaluation for possible obstructing (...) . 2013;19(1):3-26. 36. Mandeville JA, Gnessin E, Lingeman JE. Imaging evaluation in the patient with renal stone disease. Semin Nephrol. 2011 May;31(3):254-258. 37. Marrero JA, Ahn J, Rajender Reddy K. American College of Gastroenterology clinical guideline: the diagnosis and management of focal liver lesions. Am J Gastroenterol. 2014;109(9):1328-1347. 38. Matsuki M, Kani H, Tatsugami F, et al. Preoperative assessment of vascular anatomy around the stomach by 3D imaging using MDCT before laparoscopy

2018 AIM Specialty Health

106. CRACKCast E192 – Airway

seen Grade 4: neither glottis nor epiglottis seen. Bag valve mask ventilation (MOANS) – Box 1.2 Mask seal (beard!) Obesity/OSA/obstructe Age >55y No Teeth Stiffness (resistance to ventilation) Extraglottic device (RODS) – Box 1.3 Restricted mouth opening Obstructed/obesity Distorted anatomy Stiffness (resistance to ventilation) Cricothyroidotomy (SMART) – Box 1.4 Surgery Mass (abscess/hematoma) Access/anatomy problems (obesity, edema) Radiation Tumor [4] What are the physiologic predictors (...) - and no backup devices (VL, EGD) available Can’t Intubate, Can’t ventilate? Time for a cric! If you are in a can’t intubate, can oxygenate situation, you have time. Call for backup and consider rescue devices. See figure 1.10. [10] How do you perform a surgical cricothyroidotomy? First—The Anatomy! Landmarks: Cricothyroid membrane is below the thyroid cartilage and above the cricoid cartilage. These 2 landmarks are palpable on most patients. Equipment : Scalpel Artery forceps Bougie Size 6 ETT Technique

2018 CandiEM

107. Interventional Spine and Pain Procedures in Patients on Antiplatelet and Anticoagulant Medications

, ligamentum flavum hypertrophy, spondylolisthesis, or spondylosis, which may compress the epidural venous plexus within tight epidural spaces. Moreover, patients, after various spine surgeries, may develop fibrous adhesions and scar tissue, thus further compromising the capacity of the epidural space and distorting the anatomy of the epidural vessels. The risk of bleeding is further increased in pain patients taking several concomitant medications with antiplatelet effects including NSAIDs, ASA (...) the risk of bleeding and neurological injury secondary to impairment of coagulation in the setting of implantable neurostimulation devices in the spine, brain, and periphery. These recommendations are aligned with the recommendations published here. | Anatomical Considerations for Hematoma Development in Spinal and Nonspinal Areas Although most cases of a spinal hematoma have a multifactorial etiology, certain anatomical features may pose higher risks secondary to the anatomy and vascular supply

2018 American Society of Regional Anesthesia and Pain Medicine

108. ACR/SIR/SPR Practice Parameter for the Performance of Image-Guided Percutaneous Needle Biopsy (PNB)

be clinically informed and understand the specific clinical questions to be answered and goals to be accomplished by PNB prior to the procedure in order to plan and perform the procedure safely and effectively. The physician performing PNB must have knowledge of the benefits, alternatives, and risks of the procedure. The physician must have an understanding of imaging anatomy, imaging equipment, radiation safety considerations, physiologic monitoring equipment, and have access to adequate supplies (...) , pharmacology of contrast agents and recognition and treatment of potential adverse reactions. g. Percutaneous needle introduction techniques. h. Technical aspects of performing the procedure, including the use of various biopsy devices. i. Anatomy, physiology, and pathophysiology of the structures being considered for PNB. The written substantiation should come from the chief of interventional radiology, the director or chief of body PRACTICE PARAMETER 4 PNB imaging or ultrasound, or the chair

2018 Society of Interventional Radiology

110. European Society of Endocrinology Clinical Practice Guidelines for the management of aggressive pituitary tumours and carcinomas

determining potential side effects, an experienced radiation oncologist is required ( ). For SRS, the tumour target should be at least 3–5 mm distant from the optic chiasm and less than 3 cm in diameter. Otherwise, fractionated EBRT may be the only option. Furthermore, EBRT should be preferred for tumours with irregular anatomy, including diffuse local infiltration and suprasellar or brainstem extension, to avoid high dose radiation of healthy tissue ( ). SRS may be more convenient for the patient (...) ( ). Standard medical treatments do not arrest growth of aggressive gonadotroph/NFPA tumours. Morbidity and mortality in patients with aggressive corticotroph tumours are mostly related to cortisol excess. Drugs reducing adrenal glucocorticoid synthesis should be given in doses aiming at achieving eucortisolism. There is little experience with pasireotide in aggressive corticotroph tumours. A single patient with a large corticotroph tumour following bilateral adrenalectomy had a lowering of ACTH

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2018 European Society of Endocrinology

111. European Society of Endocrinology Clinical Practice Guidelines on the management of adrenocortical carcinoma in adults

European Society of Endocrinology Clinical Practice Guidelines on the management of adrenocortical carcinoma in adults European Society of Endocrinology Clinical Practice Guidelines on the management of adrenocortical carcinoma in adults, in collaboration with the European Network for the Study of Adrenal Tumors in: European Journal of Endocrinology Volume 179 Issue 4 Year 2018 This site uses cookies, tags, and tracking settings to store information that help give you the very best browsing (...) experience. If you don't change your settings, we'll assume you're happy with this. Google Translate to save searches and organize your favorite content. Not registered? Search Recently viewed (1) European Society of Endocrinology Clinical Practice Guidelines on the management of adrenocortical carcinoma in adults, in collaboration with the European Network for the Study of Adrenal Tumors in Authors: , , , , , , , , , , , , , , , , , , and View More View Less 1 Division of Endocrinology and Diabetes

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2018 European Society of Endocrinology

112. Paediatric Urology

of hypothalamic-pituitary-adrenal axis significant during clinical treatment of phimosis? J Urol, 2010. 183: 2327. 22. Wu, X., et al. A report of 918 cases of circumcision with the Shang Ring: comparison between children and adults. Urology, 2013. 81: 1058. 23. Pedersini, P., et al. “Trident” preputial plasty for phimosis in childhood. J Pediatr Urol, 2017. 13: 278.e1. 24. Miernik, A., et al. Complete removal of the foreskin--why? Urol Int, 2011. 86: 383. 25. Wiswell, T.E. The prepuce, urinary tract (...) or 3 years. J Urol, 2007. 178: 1589. 75. Novaes, H.F., et al. Single scrotal incision orchiopexy - a systematic review. Int Braz J Urol, 2013. 39: 305. 76. Docimo, S.G. The results of surgical therapy for cryptorchidism: a literature review and analysis. J Urol, 1995. 154: 1148. 77. Ziylan, O., et al. Failed orchiopexy. Urol Int, 2004. 73: 313. 78. Prentiss, R.J., et al. Undescended testis: surgical anatomy of spermatic vessels, spermatic surgical triangles and lateral spermatic ligament. J Urol

2018 European Association of Urology

113. Male Sexual Dysfunction

of recommendations. Bmj, 2008. 336: 924. 23. Phillips, B. Oxford Centre for Evidence-based Medicine Levels of Evidence. Updated by Jeremy Howick March 2009. 1998. 24. Guyatt, G.H., et al. Going from evidence to recommendations. Bmj, 2008. 336: 1049. 25. Van den Broeck T, et al. What are the benefits and harms of testosterone treatment for male sexual dysfunction? PROSPERO: International prospective register of systematic reviews, 2015. 26. Gratzke, C., et al. Anatomy, physiology, and pathophysiology of erectile

2018 European Association of Urology

114. Renal Cell Carcinoma

in the diagnosis and management of renal cell carcinoma: role of multidetector ct and three-dimensional CT. Radiographics, 2001. 21 Spec No: S237. 96. Wittekind Ch., et al. TNM supplement, A Commentary on Uniform Use. Wittekind Ch., Greene F., Henson D.E., Hutter R.V., Sobin L.H., Editors. 2012, Wiley-Blackwell. 97. Klatte, T., et al. A Literature Review of Renal Surgical Anatomy and Surgical Strategies for Partial Nephrectomy. Eur Urol, 2015. 68: 980. 98. Spaliviero, M., et al. An Arterial Based Complexity (...) (>/=7cm) clear cell renal cell carcinomas treated with nephron-sparing surgery versus radical nephrectomy: Results of a multicenter cohort with long-term follow-up. PLoS One, 2018. 13: e0196427. 227. Mir, M.C., et al. Partial Nephrectomy Versus Radical Nephrectomy for Clinical T1b and T2 Renal Tumors: A Systematic Review and Meta-analysis of Comparative Studies. Eur Urol, 2017. 71: 606. 228. Lane, B.R., et al. Management of the adrenal gland during partial nephrectomy. J Urol, 2009. 181: 2430. 229. Xu

2018 European Association of Urology

115. Chronic Pelvic Pain

colpopexy: management of postoperative pudendal nerve entrapment. Obstet Gynecol, 1996. 88: 713. 218. Fisher, H.W., et al. Nerve injury locations during retropubic sling procedures. Int Urogynecol J, 2011. 22: 439. 219. Moszkowicz, D., et al. Where does pelvic nerve injury occur during rectal surgery for cancer? Colorectal Dis, 2011. 13: 1326. 220. Ashton-Miller, J.A., et al. Functional anatomy of the female pelvic floor. Ann N Y Acad Sci, 2007. 1101: 266. 221. Amarenco, G., et al. [Perineal neuropathy

2018 European Association of Urology

116. Lymphoma

, kidney, adrenal, or symptoms referable to CNS or nerve roots. Consider for elevated LDH, ECOG 2-4, and >1 ENS. ENT exam Suprahyoid cervical lymph node or stomach UGI & SBFT W a l d e y e r ’ s ring involvement Ophthalmologic (slit lamp) exam Primary brain lymphoma HIV serology If any HIV risk factors. Lymphomas with unusual presentations or aggressiveness including Primary CNS. Cardio-oncology imaging (MR or Echocardiogram) All patients who are planned to receive anthracycline or high dose (...) ) or without (n=120) ASCT (72% vs 64%). Newer methods of identifying poor prognosis DLBCL patients include the use of interim or final PET+ response to RCHOP, as well as cell of origin (COO) GCB vs non-GCB, and MYC/BCL2 expression. Ennishi et al. (2017) reported very poor outcomes (5yr TTP 10%) for relapse in the central nervous system include 4-6 of the following factors: 1) Age >60 years, 2) elevated LDH, 3) ECOG=2-4, 4) Stage 3-4, 5) >1 extranodal site of involvement, and 6) kidney or adrenal

2016 CPG Infobase

117. Clinical Practice Guideline for Screening and Management of High Blood Pressure in Children and Adolescents

(on a calibrated machine that has been validated for use in the pediatric population) or auscultatory (by using a mercury or aneroid sphygmomanometer , ). (Validation status for oscillometric BP devices, including whether they are validated in the pediatric age group, can be checked at .) BP should be measured in the right arm by using standard measurement practices unless the child has atypical aortic arch anatomy, such as right aortic arch and aortic coarctation or left aortic arch with aberrant right

2017 American Academy of Pediatrics

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